Max Levy Online - Online RFQ

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Online RFQ for Grids and Targets
To request assistance or a Quotation for Custom Products, please complete the following form. Items marked with an asterisk (*) are required.

Custom RFQ Form:
Contact Name *
Company *
Job Title
Email Address *
Phone Number *
Address 1
Address 2
City
State	Zip
Country
Fax
	Please Complete as many fields as possible below.
Application:
Design Transmission Light Wavelengths:
Preferred Substrate Material:	(Float Glass, Low Expansion Float Glass, etc.)
Dimensions Width:	Tol. ±
Height:	Tol. ±
Thickness:	Tol. ±
Anti-Reflective Coating Required:	Opposite (non-pattern) Surface Pattern Surface
Angle of Incidence:
Other A/R details:
How is the grid plate viewed?	Transmission Reflection
Pattern (optional):	Upload a file from your computer (.dwg, .dxf, .pdf, .jpg, other):
Minimum Feature Dimensions:	Tol. ±
Positional Accuracy:	Tol. ± (line-to-line or dot-to-dot)
Overall Accuracy:	Tol. ±
	You may also FAX a sketch to (215) 842-3637
Do you require N.I.S.T. Traceable Calibration (point mapping X,Y)?	Yes No
Description of Calibration:
Environmental Operation
Lab Conditions:
Humidity Conditions:
Other Concerns:
Other Technical Considerations / Comments: